Certified Pharmacy Technician - Remote, USA (25)- 11/09

C4 Technical Services; Eagan (MN); Remote; USD 25,000 - 29,000; Full time

Job summary

Prime Therapeutics is seeking a Certified Pharmacy Technician for a contract role in a call center environment. You will evaluate and authorize prior authorization requests from prescribers received by telephone or fax, using client criteria and pharmacy benefits information.

Responsibilities include communicating decisions to physicians and staff, researching outcomes, and documenting actions in the system. Occasional escalation to Pharmacist is required, with additional duties as assigned.

Qualifications

• Retail experience in a pharmacy or retail setting.
• Call center experience is a plus and preferred.

Responsibilities

• Evaluate and authorize prior authorization pharmacy requests from prescribers via telephone or fax.
• Communicate approval decisions to physicians and office staff.
• Research, resolve, and document prior authorization outcomes in pharmacy system.
• Escalate complex cases to Pharmacist as needed.
• Handle inquiries and communicate results to clients and providers.

Skills

Retail Experience

Call Center Experience

Education

Certified Pharmacy Technician

Job description

• Pay Rate: $18.00 to $21.00
• Remote/Work from Home
• Private Work Area Required
• 40 hours per week: Overtime may be required
• Certificate Needed Determined by State
• Must Take Skills Assure
• MUST BE ABLE TO WORK WEEKENDS, HOLIDAYS ARE NOT PAID UNLESS WORKING ON THAT DAY.
• MUST BE ABLE TO WORK AND 8 HOUR SCHEDULE BETWEEN THE HOURS OF 6:00AM AND 10:00PM CENTRAL TIME.
• MUST HAVE HARD WIRED INTERNET - NO WIFI

Prime Therapeutics

Contract - 12 Months - w/extension

Certified Pharmacy Tech

Need is for (25)

Must Haves:

• Retail Experience
• Call Center Experience is a Plus

Job Description Summary

A Certified Technician in a call center evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile (fax) using client clinical criteria in a call center environment.

Job Description

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Research, resolves, and documents prior authorization outcomes in pharmacy system.
• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Escalates requests to Pharmacist when request requires extensive clinical review or denial.
• Research, resolves, and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider, and/or management.
• Performs other duties as required.
• For CPTs assigned to work the fax queue, responsibilities will also include:
• Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists within SLA (service level agreement) guidelines.
• Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).